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Indiana rates for HCPCS 50434

Convert nephrostomy catheter to nephroureteral catheter, percutaneous, including diagnostic nephrostogram and/or ureterogram when performed, imaging guidance (eg, ultrasound and/or fluoroscopy) and all associated radiological supervision and interpretation, via pre-existing nephrostomy tract

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$177.80 / $853.26 / $5,634.00
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$970.00 / $5,790.87 / $8,240.00
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$188.39 / $262.04 / $1,094.22
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,286.40 / $1,286.40 / $1,286.40
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,638.00 / $2,854.00 / $4,271.00